FUNDING THE TOWER BUSINESS CENTRE, PORTLAND TOWER, PORTLAND ST, MANCHESTER, M1 3LF TEL: FAX:

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1 FUNDING L T D THE TOWER BUSINESS CENTRE, PORTLAND TOWER, PORTLAND ST, MANCHESTER, M1 3LF TEL: FAX: COMMERCIAL BRIDGING LOAN APPLICATION FORM Introducing Company Name Address Tel Fax Web Address Contact Name Mobile Enclosed: Y N Details Valuation cheque Site plan and drawings Proof of ID (certified copies or originals) 2 x proof of current residency (originals dated in last 3 months) Planning consent Other Website: enquiries@bishopsgatefunding.com

2 IMPORTANT - USE OF YOUR INFORMATION You are applying to enter into a credit agreement with us and in considering your application we will be using personal data about you. By signing this application you declare (where any joint applicant with you does not also sign) that you are entitled to disclose information about your joint applicant and any guarantor. You authorise us to search and / or record information about you and your joint applicant. You have a right to know how we will use your personal information. It is important that you read the following information carefully before you sign. By signing you are agreeing to this use and disclosure of your information. Information held about you by Credit Reference Agencies may be linked to records relating to any person with whom you are linked financially. Read the Use of Associated Records below before you sign. In considering whether to enter into any agreement with you we will search your record and that of any joint applicant not signing this application or any guarantor at credit reference agencies. They will add to their record about you and any joint applicant and any guarantor, details of our search and your application and this will be seen by other organisations that make searches. This and other information about you and those with whom you are linked financially may be used to make credit decisions about you and other members of your household. We may use a credit scoring or other automated decision making system. It is important that you provide us with accurate information. We may check your details and those of any joint applicant or guarantor with fraud prevention agencies and if you provide false or inaccurate information or we suspect fraud, this information may be recorded. Fraud prevention agency records will be shared with other organisations to help make decisions on credit and motor, household, life and other insurance proposals and claims, for you and members of your household. Please telephone or write to us at the telephone number/address stated on pager if you want to have details of the credit reference agencies or any other agencies from whom we obtain, and to whom we pass, information about you. You have a legal right to these details. You have a right to receive a copy of the information we hold about you. A fee may be payable. USE OF ASSOCIATED RECORDS Before entering into any agreement with you we may search records at credit reference agencies which may be linked to records relating to your spouse / partner or other persons with whom you are linked financially and other members of your household. For the purposes of this application you may be treated as financially linked and you will be assessed with reference to associated records. Where any search or application is completed involving joint parties, you both consent to us recording details at credit reference agencies. As a result an association will be created which will link your financial records and your associate s information may be taken into account when a future search is made by us or another lender unless you file a disassociation at the credit reference agencies.

3 BORROWING REQUIREMENTS Total Term Purpose Y N Stage payments required? Is this a New Build? Is this a Refurbishment? If yes, please state amount of 1st advance If yes, please give the estimated end value If yes, please give the estimated end value Who is managing the project? Builder/Contractor Borrower Architect Will the property have: NHBC Certificate Zurich Architects Certificate N/A Insurance Company STAGE PAYMENTS REQUIRED: Advance Amount Stage reached (e.g. DPC, Wallplate etc) Please advise estimated timescale, in months to reach this stage from date loan completed Total EXAMPLE: Advance 1 Amount 60,000 Stage reached (e.g. DPC, Wallplate etc) Plot Purchase Please advise estimated timescale, in months to reach this stage from date loan completed ,000 DPC 1 month 3 25,000 Wall Plate 3 months 4 35,000 Roofed in 4 months 5 20,000 First Fix 5 months 6 25,000 Complete 7 months Total 180,000

4 PROFESSIONAL CONTACTS SOLICITORS Name of Firm Address Person Acting DX Tel Fax CERTIFICATION Architect or NHBC details Name Address Tel Fax Person Acting CONTRACTOR Main Builder/Contractor Name Address _ Tel Fax TIMBER FRAME COMPANY Timber Frame Company (where applicable) Address Tel Fax Contact name PLANNING DETAILS Council Address Telephone Number Contact Name Planning Application Number

5 SECURITY OFFERED SECURITY FOR ADVANCE Address Post Code Original Purchase Price Date of Purchase Present Value First Mortgage Lender Amount owing Second Mortgage Lender Amount owing Details of Further Charges/Secured Bank Loan etc. Amount owing Age of Property Freehold Leasehold Unexpired term of years Ground Rent House Bungalow Land Shop Flat Detached Semi-Detached Terraced Description of Property Does the property have agricultural restrictions? Yes No If Yes give details Do you intend to let the property? Yes No If Yes give details Will the property be used for business purposes? Yes No If Yes give details Is the property situated above commercial premises? Yes No If Yes give details Is the property built of brick with a tile roof? Yes No If No give details ADDITIONAL SECURITY OFFERED Address Post Code Original Purchase Price Date of Purchase Present Value First Mortgage Lender Amount owing Second Mortgage Lender Amount owing Details of Further Charges/Secured Bank Loan etc. Amount owing Age of Property Freehold Leasehold Unexpired term of years Ground Rent House Bungalow Land Shop Flat Detached Semi-Detached Terraced Description of Property Does the property have agricultural restrictions? Yes No If Yes give details Do you intend to let the property? Yes No If Yes give details Will the property be used for business purposes? Yes No If Yes give details Is the property situated above commercial premises? Yes No If Yes give details Is the property built of brick with a tile roof? Yes No If No give details I/We the Borrower(s) hereby declare that neither I/We nor any of my/our immediate relatives shall occupy the security property and neither do I/We intend to do so during the term of the Loan Agreement. Signature of Applicant 1 Applicant 2 Date

6 Title (Mr/Mrs/Miss) Surname First Name(s) DOB Address Post Code Owner or Tenant Telephone: Previous Address APPLICANTS PERSONAL INFORMATION Applicant 1 Applicant 2 Day Day Evening Evening Address Address Married/Single/Divorced Time in Employment Occupation Name & Address of Employer Employed or Self-Employed Employed or Self-Employed Declared Annual Income Signature of Applicant 1 Applicant 2 Have either Applicant ever been: 1. Bankrupt YES NO YES NO 2. Entered into an IVA YES NO YES NO Has there been any: 3. Mortgage arrears in last twelve months YES NO YES NO 4. CCJ s made against either Applicant YES NO YES NO Name & Address of Bank Account Number Sort Code Account Name I/We, the undersigned declare that the information given in this application is true and complete in every aspect to the best of my/our belief and I/we understand that it may form the basis of any contract between me/us and the Company making the Advance. I/we undertake to notify the Company immediately of any changes that occur prior to any advance being made. I/we authorise the Company and/or its agents to make any enquiries they deem necessary for confirmation of my/our statements and particulars. I/We further acknowledge and agree to my personal details being made available to third parties associated with the Company. These third parties may include Solicitors, Bankers and Investors. YOUR HOME (OR ANY OTHER SECURITY OFFERED) IS AT RISK IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR OTHER LOAN SECURED ON IT. Signature of Applicant 1 Applicant 2 Date

7 FOR LIMITED COMPANIES Name of Company Address of Business Post Code Name of Contact Position Telephone Address of Registered Office Post Code Name of Business Incorporated in England No Date of Incorporation Nominal Capital Issued Capital DETAILS OF ALL DIRECTORS AND SHAREHOLDERS Full Name Age Present Private Address (previous address if resident less than 3 years) Shareholding * The Joint and Several Personal Guarantees of all Directors will be required Name & Address of Bankers to Company Account Number Sort Code Account Name Name and Address of Solicitor to Company Person Acting DX Tel Fax Particulars of any current Mortgages, Debentures or Bank Loans Has the company been subject to a winding up petition Have any Court Orders been made against your Company YES NO YES NO I/we declare that the replies to the questions contained herein are true and complete to the best of my/our belief and understand that they may form the basis of any contract between the above Company and the Company making the Advance. I/we authorise Bishopsgate Funding Limited and/or its agents to make any enquiries they deem necessary for confirmation of our statements and particulars. I/we confirm that I/we are duly authorised by the above company to apply for finance and enter into such finance agreements on it s behalf. Signed Director/Secretary. Date

8 ADDITIONAL INFORMATION